Race and ethnicity in the COVID-19 Critical Care Consortium: demographics, treatments, and outcomes, an international observational registry study
Abstract Background Improving access to healthcare for ethnic minorities is a public health priority in many countries, yet little is known about how to incorporate information on race, ethnicity, and related social determinants of health into large international studies. Most studies of differences...
Published in: | International Journal for Equity in Health |
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ftdoajarticles:oai:doaj.org/article:e72d1172fd454a4c9084e926ee0008a3 2024-01-21T10:06:15+01:00 Race and ethnicity in the COVID-19 Critical Care Consortium: demographics, treatments, and outcomes, an international observational registry study Matthew J. Griffee David A. Thomson Jonathon Fanning Dorothea Rosenberger Adrian Barnett Nicole M. White Jacky Suen John F. Fraser Gianluigi Li Bassi Sung-Min Cho 2023-12-01T00:00:00Z https://doi.org/10.1186/s12939-023-02051-w https://doaj.org/article/e72d1172fd454a4c9084e926ee0008a3 EN eng BMC https://doi.org/10.1186/s12939-023-02051-w https://doaj.org/toc/1475-9276 doi:10.1186/s12939-023-02051-w 1475-9276 https://doaj.org/article/e72d1172fd454a4c9084e926ee0008a3 International Journal for Equity in Health, Vol 22, Iss 1, Pp 1-17 (2023) COVID-19 Respiratory distress syndrome Healthcare disparities American Indians or Alaska Natives Race Ethnicity Public aspects of medicine RA1-1270 article 2023 ftdoajarticles https://doi.org/10.1186/s12939-023-02051-w 2023-12-24T01:47:18Z Abstract Background Improving access to healthcare for ethnic minorities is a public health priority in many countries, yet little is known about how to incorporate information on race, ethnicity, and related social determinants of health into large international studies. Most studies of differences in treatments and outcomes of COVID-19 associated with race and ethnicity are from single cities or countries. Methods We present the breadth of race and ethnicity reported for patients in the COVID-19 Critical Care Consortium, an international observational cohort study from 380 sites across 32 countries. Patients from the United States, Australia, and South Africa were the focus of an analysis of treatments and in-hospital mortality stratified by race and ethnicity. Inclusion criteria were admission to intensive care for acute COVID-19 between January 14th, 2020, and February 15, 2022. Measurements included demographics, comorbidities, disease severity scores, treatments for organ failure, and in-hospital mortality. Results Seven thousand three hundred ninety-four adults met the inclusion criteria. There was a wide variety of race and ethnicity designations. In the US, American Indian or Alaska Natives frequently received dialysis and mechanical ventilation and had the highest mortality. In Australia, organ failure scores were highest for Aboriginal/First Nations persons. The South Africa cohort ethnicities were predominantly Black African (50%) and Coloured* (28%). All patients in the South Africa cohort required mechanical ventilation. Mortality was highest for South Africa (68%), lowest for Australia (15%), and 30% in the US. Conclusions Disease severity was higher for Indigenous ethnicity groups in the US and Australia than for other ethnicities. Race and ethnicity groups with longstanding healthcare disparities were found to have high acuity from COVID-19 and high mortality. Because there is no global system of race and ethnicity classification, researchers designing case report forms for international studies ... Article in Journal/Newspaper First Nations Alaska Directory of Open Access Journals: DOAJ Articles Indian International Journal for Equity in Health 22 1 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
COVID-19 Respiratory distress syndrome Healthcare disparities American Indians or Alaska Natives Race Ethnicity Public aspects of medicine RA1-1270 |
spellingShingle |
COVID-19 Respiratory distress syndrome Healthcare disparities American Indians or Alaska Natives Race Ethnicity Public aspects of medicine RA1-1270 Matthew J. Griffee David A. Thomson Jonathon Fanning Dorothea Rosenberger Adrian Barnett Nicole M. White Jacky Suen John F. Fraser Gianluigi Li Bassi Sung-Min Cho Race and ethnicity in the COVID-19 Critical Care Consortium: demographics, treatments, and outcomes, an international observational registry study |
topic_facet |
COVID-19 Respiratory distress syndrome Healthcare disparities American Indians or Alaska Natives Race Ethnicity Public aspects of medicine RA1-1270 |
description |
Abstract Background Improving access to healthcare for ethnic minorities is a public health priority in many countries, yet little is known about how to incorporate information on race, ethnicity, and related social determinants of health into large international studies. Most studies of differences in treatments and outcomes of COVID-19 associated with race and ethnicity are from single cities or countries. Methods We present the breadth of race and ethnicity reported for patients in the COVID-19 Critical Care Consortium, an international observational cohort study from 380 sites across 32 countries. Patients from the United States, Australia, and South Africa were the focus of an analysis of treatments and in-hospital mortality stratified by race and ethnicity. Inclusion criteria were admission to intensive care for acute COVID-19 between January 14th, 2020, and February 15, 2022. Measurements included demographics, comorbidities, disease severity scores, treatments for organ failure, and in-hospital mortality. Results Seven thousand three hundred ninety-four adults met the inclusion criteria. There was a wide variety of race and ethnicity designations. In the US, American Indian or Alaska Natives frequently received dialysis and mechanical ventilation and had the highest mortality. In Australia, organ failure scores were highest for Aboriginal/First Nations persons. The South Africa cohort ethnicities were predominantly Black African (50%) and Coloured* (28%). All patients in the South Africa cohort required mechanical ventilation. Mortality was highest for South Africa (68%), lowest for Australia (15%), and 30% in the US. Conclusions Disease severity was higher for Indigenous ethnicity groups in the US and Australia than for other ethnicities. Race and ethnicity groups with longstanding healthcare disparities were found to have high acuity from COVID-19 and high mortality. Because there is no global system of race and ethnicity classification, researchers designing case report forms for international studies ... |
format |
Article in Journal/Newspaper |
author |
Matthew J. Griffee David A. Thomson Jonathon Fanning Dorothea Rosenberger Adrian Barnett Nicole M. White Jacky Suen John F. Fraser Gianluigi Li Bassi Sung-Min Cho |
author_facet |
Matthew J. Griffee David A. Thomson Jonathon Fanning Dorothea Rosenberger Adrian Barnett Nicole M. White Jacky Suen John F. Fraser Gianluigi Li Bassi Sung-Min Cho |
author_sort |
Matthew J. Griffee |
title |
Race and ethnicity in the COVID-19 Critical Care Consortium: demographics, treatments, and outcomes, an international observational registry study |
title_short |
Race and ethnicity in the COVID-19 Critical Care Consortium: demographics, treatments, and outcomes, an international observational registry study |
title_full |
Race and ethnicity in the COVID-19 Critical Care Consortium: demographics, treatments, and outcomes, an international observational registry study |
title_fullStr |
Race and ethnicity in the COVID-19 Critical Care Consortium: demographics, treatments, and outcomes, an international observational registry study |
title_full_unstemmed |
Race and ethnicity in the COVID-19 Critical Care Consortium: demographics, treatments, and outcomes, an international observational registry study |
title_sort |
race and ethnicity in the covid-19 critical care consortium: demographics, treatments, and outcomes, an international observational registry study |
publisher |
BMC |
publishDate |
2023 |
url |
https://doi.org/10.1186/s12939-023-02051-w https://doaj.org/article/e72d1172fd454a4c9084e926ee0008a3 |
geographic |
Indian |
geographic_facet |
Indian |
genre |
First Nations Alaska |
genre_facet |
First Nations Alaska |
op_source |
International Journal for Equity in Health, Vol 22, Iss 1, Pp 1-17 (2023) |
op_relation |
https://doi.org/10.1186/s12939-023-02051-w https://doaj.org/toc/1475-9276 doi:10.1186/s12939-023-02051-w 1475-9276 https://doaj.org/article/e72d1172fd454a4c9084e926ee0008a3 |
op_doi |
https://doi.org/10.1186/s12939-023-02051-w |
container_title |
International Journal for Equity in Health |
container_volume |
22 |
container_issue |
1 |
_version_ |
1788696708348116992 |